Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deepthy Jolal, NP

Individual provider Family Nurse Practitioner · NPI 1881058238

Deepthy Jolal, NP is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2015, 11 years ago. Practices with Mountain Park Health Center, a 121-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2016
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4204 W Cactus Rd
Phoenix, AZ 85029-2924
Phone: (602) 547-5919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP8609 (AZ)

Record details

NPI number1881058238
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 12, 2016
Last updated in NPPESApril 12, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Mountain Park Health Center — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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